Specialized Oncology Program
Oncology Care Management (OCM)
Coordinate comprehensive cancer care with compliant workflows
Our OCM framework helps oncology practices streamline care coordination, track progress, and improve patient experience while enabling appropriate reimbursement.
Coordinated Care
Navigation, education, and follow-up workflows
Built for multidisciplinary oncology teams
Why OCM?
Comprehensive support for complex care pathways
Care Coordination
Structured workflows for appointments, treatment, and follow-ups.
Patient Navigation
Support across treatment phases to improve experience and adherence.
Compliance & Reporting
Audit-ready documentation and outcomes tracking for payors.
Common Care Management Codes Used by Oncology Practices
Examples of CPT codes frequently leveraged in oncology care management
Chronic & Complex CCM
- 99490 - Chronic Care Management; 20 min/month (clinical staff)
- 99439 - Each additional 20 min/month (add-on to 99490)
- 99487 - Complex CCM; 60 min/month with moderate/high MDM
- 99489 - Each additional 30 min/month (add-on to 99487)
- 99491 - CCM personally by physician/other QHCP; 30 min/month
- 99437 - Each additional 30 min (add-on to 99491)
Principal & Transitional Care
- 99424 / 99425 - Principal Care Management (physician time; 30 min / addl 30)
- 99426 / 99427 - Principal Care Management (clinical staff; 30 min / addl 30)
- 99495 - Transitional Care Management; moderate complexity
- 99496 - Transitional Care Management; high complexity
Codes and coverage vary by payer and clinical context; verify current CMS and payer policies. This is not legal or billing advice.
"Increased our revenue by $180K in first year with seamless implementation and excellent ongoing support."
Dr. Smith
Family Medicine Practice
"Implementation was seamless and staff training was excellent. Highly recommend for any practice looking to add CCM."
Sarah J.
Practice Administrator